| NPI | 1851444681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL CHARLES MAUSNER Partner 516-764-1303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 125529) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 125940) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |